Digital health tools, such as radiotherapy preparation apps, can support person-centred care, though their development is shaped by evolving complexity. This study examined how perceived complexity changed during the development of the Deep Inspiration Breath Hold Preparation App and assessed the utility of the NASSS-CAT. A longitudinal observational study was conducted, with complexity assessed at three development stages using the NASSS-CAT. Stakeholders from clinical, academic, and industry settings completed individual assessments followed by group discussions. Quantitative data were analyzed descriptively; qualitative data provided contextual understanding. Perceived complexity varied by domain and over time. Initially, technical complexity was rated highest. Over time, total complexity declined, especially in strategic and operational domains, reflecting greater integration and shared understanding. The NASSS-CAT supported stakeholder reflection and adaptive decision-making. Integrating complexity-informed evaluation into development processes may improve the scalability, sustainability, and person-centredness of digital health interventions.

Background

Nursing students often feel unprepared for end-of-life care, and education, and clinical experience can enhance their confidence. Clinical supervisors are crucial in this process, yet knowledge of their experiences is limited.

Aim

To explore supervisors’ experiences of tutoring undergraduate nursing students in the care of dying patients.

Methods

A qualitative study with individual semi-structured interviews with eight registered nurses. Data were analyzed using qualitative content analysis.

Results

Themes: adapting supervision to student preparedness; equipping students; and nurturing wings for secure exploration were identified. The findings underscore the multifaceted nature of palliative care supervision and highlight the need to tailor support to students’ levels, experiences, and expectations through reflection, preparation, end-of-life care knowledge, and emotional coping skills. It shows how supervisors foster student growth while maintaining safety for students, patients, families, and themselves.

Conclusion

Supervisors support both students’ learning and well-being while balancing patient and family safety. They play a key role in preparing future healthcare professionals to deliver high-quality end-of-life care.

PurposeA cancer diagnosis and treatment pose significant physical and psychological challenges. The study aimed to explore factors associated with distress over time in women diagnosed with breast cancer undergoing radiotherapy (RT) with access to a digital information tool, specifically examining if factors such as health literacy and self-efficacy had any influence on distress.

MethodsIn this pilot randomised controlled trial, women were assigned to an intervention group (n = 59) with access to a digital information tool or a control group (n = 52). Assessments were conducted at baseline, one week before RT (FU1), one week post- (FU2), and six months after treatment (FU3). Distress was measured at all time points, and associated factors were evaluated at baseline and six months.

ResultsIn the intervention group, a statistically significant reduction in distress was observed over time (FU1, p = .009; FU2, p < .001; FU3, p < .001). The control group showed a significant reduction at FU3 (p = .009). Quade’s ANCOVA revealed no significant differences between the groups in distress prevalence (F = 3.460, p = .066). No significant changes in health literacy or self-efficacy were observed over time.

ConclusionThe results indicate no statistically significant effect on distress; however, there is a potential indication of a reduction in distress, suggesting that the digital information tool may offer some benefits. Further research is required to confirm this relationship.

IntroductionOral health is multi-faceted and influences a person’s daily life, and numerous potential barriers and factors can challenge and pose barriers to good oral health. Shortages of healthcare professionals or incorrect care practices can be barriers to performing good oral healthcare. A knowledge gap has been identified in qualitative research on description of healthcare professionals’ experiences of oral healthcare among older adults in municipal healthcare.

AimTo describe healthcare professionals’ experiences of oral healthcare among older adults in Swedish municipal healthcare.

Design and methodsThe study employed a qualitative design guided by a secondary qualitative analysis method comprising inductive qualitative content analysis. Data were collected through semi-structured individual interviews with healthcare professionals.

ResultsGood relationships and mutual trust create the conditions for delivering good oral healthcare. Knowledge provides confidence and trust in performing oral healthcare, experiences and strategies influence the individual adaptation of oral healthcare, and priorities and collaboration influence oral healthcare provision.

Conclusion and implicationsThe performance of oral healthcare is complex and cannot be achieved without establishing a relationship with the older adult who needs care. Oral healthcare includes prerequisites such as routines, sufficient time, work-time planning, and collaboration between healthcare professionals. Registered nurses positively experience opportunities to collaborate with other healthcare professionals regarding oral healthcare and are seen as leaders in the Fundamentals of Care and are sharing good examples of oral healthcare in palliative care.